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HomeMy WebLinkAbout101617_ca04615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHeaIth.org Consent Agenda October 2, 2017 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director DATE: )ol )Lel aor+- SUBJECT: Agenda Item — Amendment No. 1 — Jefferson Healthcare — ARNP Services for School Based Health Center (SBHC); $40,500 (plus CPIW adjustment) for the 2017-2018 School Year STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of Amendment No. 1— Jefferson Healthcare — ARNP Services for School Based Health Center; The dollar amount is based upon the 2016- 2017 school year amount of $40,500 (plus CPIW adjustment) to be effective beginning with the 2017-2018 School Year and to continue unless and until changed by either parry and approved by all signatories to the original contract and any approved amendments. The purpose for the amendment is to provide more flexibility in use of the funds to support the School Based Health Centers and also to remove the requirement that the funds go specifically to support the salary and benefits of an ARNP only in the Chimacum School District, The amendment allows the funds from Jefferson Healthcare to be used to support the continued provision of school-based health centers in Jef -_rson County school districts — currently Port Townsend and Chimacum. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: This is an amendment to the contract to provide nurse practitioner (ARNP) services to Jefferson Healthcare (JHC) for School Based Health Centers (SBHC). Sections amended include contract representatives, compensation and statement of work. Compensation will now include an annual dollar amount and an annual increase based on the Consumer Price Index. Statement of work requirements have been specified as applicable to JCPH school-based clinics. This is a change from an annual amount based on the salary and benefits of a specific ARNP in the Chimacum School District. It provides much needed flexibility in how the funds are used to support the SBHCs and no longer requires them to be spent in only the Chimacum School District. FISCAL IMPACT COST BENEFIT ANALYSIS: The budget is neutral. JHC will continue to provide the same funding level adjusted annually by the CPIW so the amendment is revenue neutral.. Jefferson Healthcare CEO has approved of these changes to the contract. Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (t) Always working for a safer and healthier community (f) 360-379-4487 615 Sheridan Street Port Townsend, WA 98368 (70;, Mon www.JeffersonCountyPublicHealth.org RECOkMiQOVDl'Qi JCPH management request approval of the Amendment No. 1 to the contract between Jefferson Healthcare and Jefferson County Public Health for— support for the School Based Health Centers effective for the 2017- 2018 School Year. REVIEWED Philip Morey, County'Oinistrator Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) l� Date Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 AMENDMENT #1 TO CONTRACT BY AND BETWEEN JEFFERSON COUNTY PUBLIC HEALTH AND JEFFERSON HEALTH CARE For provision of one (1) ARNP in school based health center setting THE FOLLOWING CONTRACT SECTIONS ARE AMENDED AS FOLLOWS: Section 3 A: Contract Representatives: The County and Jefferson Healthcare will each have a contract representative who will have responsibility to administer the contract for that party. A party may change its representative upon providing written notice to the other party. The parties' representatives are as follows: County of JCPH Contract Representative Vicki Kirkpatrick, Director Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 98368 (360) 385-9400 Contractor's Contract Representative Jennifer Wharton, Chief Medical Group Officer Jefferson Healthcare 834 Sheridan Street Port Townsend, WA 98368 (360) 385-2200 Section 4: COMPENSATION: Jefferson Healthcare agrees to provide the following: A. Jefferson Healthcare will provide Jefferson County Public Health an amount not to exceed $40,500 (plus the CPIW adjustment) in support of two school-based health clinics. B. The effective date of Amendment #1 begins July 1, 2017 through June 30, 2018 and compensation is based on an average 12 hours per week/per year school-based clinic hours. C. The annual compensation shall be adjusted on the first business day of September by the amount of the increase in the Consumer Price Index (CPIW) from September to September. The CPIW is the Consumer Price Index — US City Average for all Urban Wage Earners and Clerical Workers, published by the Bureau of Labor Statistics for the United States Department of Labor. Increases will be rounded to the dollar. If the CPIW is less than 0.00, the total compensation will remain the same as the previous year. Any increases in accordance with this calculation shall not exceed 5 percent per year. This annual CPIW adjustment shall begin in September 2017 based on the CPIW from September 2016 to September 2017 (as published by the Bureau of Labor Statistics in October) and continue annually thereafter. Page 1 of 3 D. County shall submit a monthly invoice equal to 1/12ti' of the annual amount. E. County records and account pertaining to this agreement are to be kept available for inspection by representatives of the Contract and state for a period of six (6) years after final payments. Copies shall be made available upon request. F. In the event that Jefferson County Public Health establishes additional school-based clinics within other Jefferson County School Districts without an established school-based clinic, Jefferson County Public Health will notify Jefferson Health Care and begin discussions centered around the possibility of additional support from JHC for the school-based health clinic expansion. Nothing in this Contract Agreement commits either JHC or JCPH to school-based health clinic expansion or expansion funding. EXHIBIT A — STATEMENT OF WORK FOR SCHOOL BASED CLINICS IS AMENDED AS FOLLOWS: Exhibit A — Statement of Work for School Based Clinics Jefferson Healthcare agrees to provide: A. Financial support (at the level articulated in the Contract By and Between JHC and JCPH and any subsequent Amendments) for JCPH school-based clinics that provide: a. Clinical treatment services for Jefferson County high school students b. Collaboration with local mental health and substance use disorder treatment agencies c. Accountability of operations to County, State and all other funding sources d. Acquisition of health care equipment and supplies e. Maintenance of medical records per HIPAA, and all other state and federal requirements. THIS AMENDMENT SUPERCEDES CONTRACT AGREEMENT AND STATEMENT OF WORK AFFECTED. THE CONTRACT AGREEMENT, TOGETHER WITH EXHIBITS, ADDENDA, AND AMENDMENTS REPRESENTS THE ENTIRE AND INTEGRATED AGREEMENT BETWEEN THE COUNTY AND THE CONTRACTOR AND SUPERSEDES ALL PRIOR NEGOTIATIONS, REPRESENTATIONS, OR AGREEMENTS WRITTEN OR ORAL BETWEEN THE PARTIES. Approved this day of 92017. BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Kathleen Kier, Chairperson JEFFERSON HEALTHCARE Mike Glenn, CEO Page 2 of 3 APPROVED AS TO FORM: Philip Hunsucker, Chief Civil Deputy Prosecutor ATTEST: Clerk of the BOCC Page 3 of 3 CONTRACT AGREEMENTJ�`y By and Between u " f Jefferson County Public Health And Jefferson Healthcare Hospital For provision of one (1) ARNP in school based health center setting Section l: PURPOSE: THIS AGREEMENT for Professional Services is entered into between Jefferson County Public Health, (JCPH) herein referred to as the "County" and Jefferson Healthcare (JHC), herein referred to as the "Contractor" to provide nursing services in a school based health setting in Jefferson County, Washington. Section 2: TERMS: This Agreement shall commence on August 16, 2010 and continue through June 30, of each school year until terminated by either party. Section 3: SCOPE OF AGREEMENT: County will provide nurse practitioner ARNP services in the School based clinics. A. Contract Representatives: The County and Jefferson Healthcare will each have a contract representative who will have responsibility to administer the contract for that party. A party may change its representative upon providing written notice to the other party. The parties' representatives are as follows: County or JCPH Contract representative Jean Baldwin, Director Jefferson County Public Health 615 Sheridan St. Port Townsend, WA 98368 (360) 385-9400 Contractor's Conti -act Representative Paula Dowdle, Chief Operating Officer Jefferson Healthcare 834 Sheridan St. Port Townsend, WA 98368 (360) 385-2200 Jefferson Healthcare — ARNP — SBHC Section 4: COMPENSATION: Jefferson Healthcare agrees to provide the following: A. Pay County the actual cost of Employee's services to Jefferson Healthcare for School Based Health Center. This reimbursement rate will be based on the Employee's current rate of compensation as a Jefferson County Public Health employee at the time the service is provided, plus a proportionate share of benefits, and covered employee expenses incurred by Jefferson County Public Health. The reimbursement rate for Employee for 2010 is currently $58.05 / hour. The reimbursement rate will be readjusted in January of each calendar year, or as needed, to reflect changes in Employee's current rate of compensation as a Jefferson County Public Health employee. JCPH will provide nursing services described herein at 12 hours weekly. Additional hours worked above the agreed upon 12 hours weekly, will be charged at the same hourly rate. B. In addition, provide for reimbursement of nursing staff for mileage incurred in connection with provision of stated services at the rate of $0.50 per mile or the current IRS Standard Business Mileage Rate. C. County shall submit invoices of actual cost to Jefferson Healthcare quarterly for payment of work completed to date. D. County records and accounts pertaining to this agreement are to be kept available for inspection by representatives of the Contractor and state for a period of six (6) years after final payments. Copies shall be made available upon request. Section 5: INDEMNIFICATION: The County shall indemnify, defend and hold harmless the Contractor, its officers, agents and employees, from and against any and all claims, lawsuits, demands for money damages, losses_or—________—_ liability, or any portion thereof, including attorney's fees and costs, arising from any injury to person or persons (including the death or injury of the County or damage to personal property) if said injury or damage was caused by the negligent acts or omissions of the County or its employees or representatives. Section 6: INSURANCE: The County shall obtain and keep in force during the terms of this Agreement, or as otherwise required. A. Commercial Automobile Liability Insurance providing bodily injury and property damage liability coverage for all owned and non owned vehicles assigned to or used in the performance of the work for a combined single limit of not less than $300,000 each occurrence. B. Professional Liability Insurance providing $2,000,000 per incident; $4,000,000 aggregate. C. The County shall participate in the Worker's Compensation and Employer's Liability Insurance Program as may be required by the State of Washington. Jefferson Healthcare — ARNP — SBHC D. Its membership in the Washington Counties Risk Pool. Section 7: CONFIDENTIALITY: All parties to this Agreement and their employees or representatives and their subcontractors and their employees will maintain the confidentiality of all information provided by JCPH or JHC or acquired in performance of this Agreement as required by HIPAA and other privacy laws. This Contract, once executed by the parties, is and remains a Public Record subject to the provision of Ch. 42.56 RCW, the Public Records Act. Section 8: OWNERSHIP AND USE OF DOCUMENTS The Contractor acknowledges and agrees that any and all work product directly connected and/or associated with the services rendered hereunder, including but not limited to all documents, drawings, reports, and the like which the County in the performance of the service hereunder, either solely and/or jointly with the Contractor shall be the sole and exclusive property of the County. The County will grant shared use of said materials following HIPPA; medical records, HIPPA charts owned by JCPH, referrals made to JHC for medical follow up, primary care, lab, x-ray, specialty care and ER, trademarks, trade names and other intellectual property right claims for said materials. Other materials produced by the County in connection with the services rendered under this agreement shall be the property of the County whether the projects for which they are made are executed or not. Each party may, with no further permission required from the other party, publish to the web, disclose, distribute, reproduce, or otherwise copy or use, in whole or in part, such items produced during the course of the Project to the extent disclosure is allowed by HIPAA. Section 9: INDEPENDENCE Nothing in this agreement shall be considered to create the relationship of employer and employee between the parties hereto. The County shall not be entitled to any benefits accorded Contractor employees by virtue of the services provided under this agreement. The Contractor shall not be responsible for withholding or otherwise deducting federal income tax or social security or for contributing to the state industrial insurance program, otherwise assuming the duties of an employer with respect to employee. Section 10: REPORTING The Contractor will continue in the partnership with the County, attending the Governance Committee, the community advisory committee with citizens review of the work performed, in relationship to the tasks identified Exhibit A, Statement of Work. Yearly end of year report will notify all parties of client volumes and diagnoses. Section 11: TERMINATION The Contractor and the County reserves the right to terminate this contract in whole or in part, with 30 days notice. In the event of termination under this clause, the Contractor shall be liable for only payment for services rendered prior to the effective date of termination. Jefferson Healthcare — ARNP — SBHC Section 12: INTEGRATED AGREEMENT This Agreement together with attachments or addenda represents the entire and integrated agreement between the County and the Contractor and supersedes all prior negotiations, representations, or agreements written or oral between the parties. This agreement may be amended or modified only by a written instrument signed by both County and Contractor. Approved this —74'� day of� X2010. BOARD OF COUNTY COMMISSIONERS JEFFERSON G TY, WASHINGTON David Su livan, Chairperson Jefferson althcare .Jefferson Healthcare — ARNP — SBHC 4 Approved as to f0mi only- 'W1 nly-'W I Exhibit A Statement of Work for School Based Clinics Jefferson Healthcare agrees to provide: A. One (1) medical provider with medical liability coverage or to pay for additional staff from JCPH B. Clinical treatment services for additional Jefferson County high school students C. Work collaboratively with local mental health and substance abuse treatment agencies D. Accountability of operations to County, State or other funding sources E. Health care equipment and supplies F. Maintenance of medical records per HIPAA, state and federal requirements Jefferson Healthcare — ARNP — SBHC